Evidence map›Paper›PMID 39639231›Full record

ArticleBMC psychiatry2024

Changes in psychiatric disorder incidence patterns during the COVID-19 pandemic in Korea: a study using the nationwide universal health insurance data.

Changwoo Han, Juho Choi, Hoyeon Jang, Hwa-Young Lee, Tarik Benmarhnia, Juhwan Oh

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Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Changwoo HanDepartment of Preventive Medicine, Chungnam National University College of Medicine, 266, Munhwa-Ro, Jung-Gu, Daejeon, 35015, Republic of Korea. cwohan@cnu.ac.kr.
Juho ChoiDepartment of Preventive Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea.
Hoyeon JangDepartment of Big Data Research and Development, National Health Insurance Service, Wonju, Republic of Korea.
Hwa-Young LeeGraduate School of Public Health and Healthcare Management, The Catholic University, Seoul, Republic of Korea.
Tarik BenmarhniaScripps Institution of Oceanography, University of California, San Diego, CA, 92037, USA.
Juhwan OhSeoul National University College of Medicine, Seoul, Republic of Korea.

Funding

Korea Health Industry Development Institute RS-2023-00305187
6 · The paper itself

Abstract

backgroundFew studies have evaluated the incidence of various psychiatric disorders during the coronavirus disease (COVID-19) pandemic using hospital visit data for the entire population of a nation. We used Korea's universal compulsory health insurance data to conduct a descriptive analysis to evaluate changes in psychiatric disorder incidence during the COVID-19 pandemic.

methodsHospital visit data related to psychiatric disorders were retrieved from the National Health Insurance Database. First-ever diagnosis for specific psychiatric disorders for each Korean was identified (from January 2015 to February 2023) and monthly age-standardized incidence rates were calculated. An interrupted time-series analysis was used to estimate counterfactual disease incidence rates and observed and counterfactual rates were compared using difference-in-difference framework.

resultsCompared to pre-pandemic period, there was a decrease in the incidence [percentage changes in monthly rate (95% confidence intervals)] of organic mental disorders [-14.6% (-18.4, -10.9)] and psychoactive substance related disorders [-12.9% (-17.5, -8.3)] during the pandemic. However, anxiety disorders [8.8% (3.1, 14.6)], behavioral syndromes associated with physiological disturbances [8.1% (4.2, 11.9)], mental retardation [8.6% (3.0, 14.2)], psychological developmental disorders [19.6% (11.5, 27.7)], childhood- and adolescent-onset behavioral and emotional disorders [45.1% (28.4, 61.8)], and unspecified mental diseases [51.8% (39.8, 63.8)] increased.

conclusionsPsychological disease incidence patterns changed substantially during the pandemic in South Korea. Various pandemic-related stressors, such as disrupted lifestyles and hospital accessibility, may have influenced these changes. The causes and public health consequences of these changes require further evaluation.

Indexed as

COVID-19Mental DisordersAdolescentAdultAgedChildFemaleHumansIncidenceMaleMiddle AgedRepublic of KoreaUniversal Health InsuranceYoung AdultCOVID-19Excess disease burdenInterrupted time series analysisPsychological disease

Identifiers

PMID39639231
PMCPMC11619179

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.